Organization Active NPI

KCS Medical, Inc

  • Family Medicine Physician
  • Columbia, TN
National Provider Identifier
1972987378
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11494 Issued in TN
Legal business name
KCS MEDICAL, INC
Practice address
1503 Hatcher LN Ste 210
Columbia, TN 38401-4833
Phone
(931) 901-0870
Fax
(931) 901-0872
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelley A Scharrer, NP
Title
Owner
Phone
(931) 901-0870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11494 TN Primary

Addresses

Primary practice location

1503 Hatcher LN Ste 210
Columbia, TN 38401-4833

Mailing address

1503 Hatcher LN Ste 210
Columbia, TN 38401-4833
Phone (931) 901-0870

Other identifiers 1

IdentifierTypeStateIssuer
Q013842MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150921000939 TN Part B Supplier - Clinic/Group Practice 6002123254 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, TN

National Provider Directory

National Provider Directory

Locations

1503 Hatcher Ln
Ste 210
Columbia, TN 38401
Phone (931) 901-0870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1972987378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 HATCHER LN STE 210",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014833",
            "telephone_number": "931-901-0870",
            "fax_number": "931-901-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 HATCHER LN STE 210",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014833",
            "telephone_number": "931-901-0870",
            "fax_number": "931-901-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCS MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "SCHARRER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-901-0870",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "11494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013842",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.